Hershman and Hershman PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME47582 Issued in FL

Legal business name

HERSHMAN AND HERSHMAN PA

Practice address

11479 SW 40TH St
Miami, FL 33165-3311

Phone

(305) 221-7235

Fax

(305) 220-1847

NPI assigned

Aug 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Direndia Shackelford

Title

Managed Care Specialist

Phone

(800) 654-0889

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LLOYD S HERSHMAN MD Doing business as

Tax ID family

Hershman and Hershman PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hershman Medical Center, P.a.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1457361909
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124134077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11479 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11479 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653311",
            "telephone_number": "305-221-7235",
            "fax_number": "305-220-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERSHMAN AND HERSHMAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "DIRENDIA",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "800-654-0889"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME47582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1019098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLOYD S HERSHMAN MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Herring, DPM
• Tyler Herrington, MD
• Theodore Herrmann, DMD
• Hersen Inc
• Mindy S. Hersh, PH.D.
• Hershman Medical Center, P.a.
• Kenneth David Hershman, M.D.
• Andrea L Hershorin, A.R.N.P.
• Eugene R Hershorin, MD
• Ingrid Herskovitz, M.D.

• Non-Pharmacy Dispensing Site in Miami, FL
• Providers in Miami, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.